Mail-in Print Request/Order Form

Print this ORDER Form, Then complete ALL the sections & Mail with Payment

Name:
 
Address:
 
City:
 		 State: Zip Code:
Phone:
 		 Email Address:

Enclose a Check for your order total or complete the section below

Please charge my credit card
 □ VISA   □ MASTERCARD  □ DISCOVER   □ AMERICAN EXPRESS

CARD # ________________________________________________________

Expiration Date______ /_______  Security Code Number _________________
This transaction will appear as COLONY PRESS on your statement
 

Limit of 4 Prints per order
Framing Choice

Item Choice

Item Cost
   □ Framed                $099.95
   □ Matted                $109.95
   □ Framed & Matted $149.95		 Image ID#  
   □ Framed                $099.95
   □ Matted                $109.95
   □ Framed & Matted $149.95		 Image ID#  
   □ Framed                $099.95
   □ Matted                $109.95
   □ Framed & Matted $149.95		 Image ID#  
   □ Framed                $099.95
   □ Matted                $109.95
   □ Framed & Matted $149.95		 Image ID#  
Printed on acid-free paper by Colony Press, Inc.
in the Northeast Village of Wauconda, Illinois.

9.0 % Sales Tax (Illinois orders ONLY)

  
Shipping and Handling per Continental USA order

Shipping & Handling: 

$ 09.50
Call for Shipping Costs for orders outside of the USA

Order Total: 

 
Signature:




Date:

Mail this completed Order Form
and your check made payable to:
 Schmidt Enterprises

Mail to:

 Schmidt Enterprises
P.O. Box 1716
Barrington, IL 60011-1716